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Prior Authorization Rn Jobs in Elk Grove, CA (NOW HIRING)

HiredFirst

RN - ICU

Lodi, CA · On-site

$2.4K/wk

The ICU RN will care for critically ill patients, manage complex clinical situations, and ... Prior travel experience preferred

Adventist Health

Admissions Coordinator

Lodi, CA · On-site

$49.52 - $74.22/hr

Registered Nurse (RN) or licensed allied health professional (Physical Therapist, Occupational ... Ensures prior authorization, verification of benefits and insurance coverage. Identifies payer ...

UHS

Registered Nurse (Full Time)

Sacramento, CA · On-site

POSITION SUMMARY The Staff Nurse (R.N.) is a registered nurse who prescribes, coordinates, and ... prior to assisting in the procedures. May be required to work overtime and flexible hours. Why is ...

NVISION Eye Centers

Registered Nurse - FT

Roseville, CA · On-site

$60 - $65/hr

Completes the Safety Checklist prior to entering the OR, during the procedure and after the ... Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist ...

NVISION Eye Centers

Registered Nurse - FT

Roseville, CA · On-site

$60 - $65/hr

Completes the Safety Checklist prior to entering the OR, during the procedure and after the ... Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist ...

UHS

Registered Nurse (Part-Time)

Sacramento, CA · On-site

POSITION SUMMARY The Staff Nurse (R.N.) is a registered nurse who prescribes, coordinates, and ... prior to assisting in the procedures. May be required to work overtime and flexible hours. Why is ...

NVISION Eye Centers

Registered Nurse - PRN

Roseville, CA · On-site

$55 - $65/hr

Completes the Safety Checklist prior to entering the OR, during the procedure and after the ... Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist ...

NVISION Eye Centers

Registered Nurse - PRN

Roseville, CA · On-site

$55 - $65/hr

Completes the Safety Checklist prior to entering the OR, during the procedure and after the ... Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist ...

NVISION Eye Centers

Registered Nurse - FT

Roseville, CA · On-site

$60 - $65/hr

Completes the Safety Checklist prior to entering the OR, during the procedure and after the ... Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist ...

NVISION Eye Centers

Registered Nurse - PRN

Roseville, CA · On-site

$55 - $65/hr

Completes the Safety Checklist prior to entering the OR, during the procedure and after the ... Receives brief report from Pre op RN when the patient is taken to the OR, Assists anesthesiologist ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Elk Grove, CA

Prior Authorization Rn information

See Elk Grove, CA salary details

$7

$44

$75

How much do prior authorization rn jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for prior authorization rn in Elk Grove, CA is $44.41, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $52.55 per hour, depending on experience, location, and employer.

What is a Prior Authorization RN?

A Prior Authorization RN is a registered nurse who specializes in reviewing and processing prior authorization requests for medical procedures, medications, or treatments. They evaluate clinical documentation to determine if requests meet insurance or regulatory criteria and often serve as a liaison between healthcare providers, patients, and insurance companies. Their role helps ensure that care is medically necessary and covered by the patient's health plan, streamlining access to important healthcare services while controlling costs.

What does a Prior Authorization RN do?

A prior authorization RN is a registered nurse who assesses applications for specific treatments, medical procedures, and medications. In this job, you review each request for medical coverage and determine the necessity or potential benefits of the treatment or medicine. You assess patient information and other factors to decide whether or not to authorize coverage. Your duties as a prior authorization RN also include reviewing denials of benefits and seeking additional information that could alter the initial decision. You document your findings for each case and present the evidence along with your decision. It is your job to review the case for each patient thoroughly while following all government regulations and healthcare provider policies.

What are the key skills and qualifications needed to thrive as a Prior Authorization RN, and why are they important?

To thrive as a Prior Authorization RN, you need a current RN license, strong clinical assessment skills, and a solid understanding of insurance guidelines and medical necessity criteria. Familiarity with utilization management software, electronic health records (EHRs), and payer-specific authorization systems is essential. Exceptional attention to detail, critical thinking, and effective communication help you advocate for patients and collaborate with healthcare providers and insurers. These skills ensure the efficient processing of authorizations, reduce delays in care, and support patients in receiving appropriate treatments.

What are some common challenges faced by Prior Authorization RNs, and how can they be addressed?

Prior Authorization RNs often navigate complex insurance guidelines and manage high volumes of requests, which can be challenging due to frequent policy updates and tight timelines. Staying organized, maintaining up-to-date knowledge of payer requirements, and leveraging electronic health record (EHR) systems can help streamline the process. Collaboration with providers and insurance representatives, as well as ongoing training, are essential for efficiently resolving issues and ensuring timely patient care.

What is the difference between Prior Authorization Rn vs Medical Coder?

AspectPrior Authorization RnMedical Coder
CredentialsRN license, possibly certifications in case management or utilization reviewCertification in coding (CPC, CCS), no RN license required
Work EnvironmentHospitals, insurance companies, healthcare facilitiesMedical offices, hospitals, insurance companies
Primary ResponsibilitiesReviewing and obtaining prior authorizations for treatments and proceduresTranslating medical records into coded data for billing and documentation

While both roles are integral to healthcare administration, the Prior Authorization RN focuses on obtaining approvals for patient care, requiring nursing credentials and clinical knowledge. In contrast, Medical Coders specialize in coding medical records for billing, emphasizing coding certifications. Understanding these differences helps healthcare professionals and job seekers identify the right career path or job opportunity.

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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Elk Grove, CA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $92,372 per year, or $44.4 per hour.

RN - ICU

HiredFirst

Lodi, CA • On-site

$2.4K/wk

Full-time

Re-posted 16 days ago

Job description

Shift: Night Shift (12-hour shifts)
Schedule: 36 or 48 hours per week
Duration: 13 weeks (extensions available)

Job Description:
We are seeking an experienced ICU / CVICU Registered Nurse for a high-acuity hospital setting. The ICU RN will care for critically ill patients, manage complex clinical situations, and collaborate with physicians and interdisciplinary teams.

Requirements:
• Active RN license (CA or compact, as applicable)
• Minimum 2 years recent ICU or CVICU experience
• BLS and ACLS required
• Prior travel experience preferred